This diagram shows a healthy heart during pumping and filling. also a heart suffering from tetralogy of fallot. Which are 4 diferent malformations and are usually known as blue baby syndrom.Tetralogy of Fallot is a rare condition caused by a combination of four heart defects that are present at birth.These defects, which affect the structure of the heart, cause oxygen-poor blood to flow out of the heart and to the rest of the body. Infants and children with tetralogy of Fallot usually have blue-tinged skin because their blood doesn't carry enough oxygen.